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1659777597
JANET WISE
CULVER CITY, CA
NPI
1659777597
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA RAS-W0706161054)
Enumeration Date
2014-11-04
Last Update Date
2015-01-16
Business Address
-- JANET WISE
11133 WASHINGTON BLVD
CULVER CITY, CA 90232-3918
Phone number: 310-895-2312
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Mailing Address
-- JANET WISE
4760 SEPULVEDA BLVD
CULVER CITY, CA 90230-4820
Phone number: 310-390-6612
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